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首页> 外文期刊>AIDS care. >'Booze is the main factor that got me where I am today': alcohol use and HIV risk for MSM in rural South Africa
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'Booze is the main factor that got me where I am today': alcohol use and HIV risk for MSM in rural South Africa

机译：“Booze是让我今天在哪里的主要因素”：南非农村MSM的酒精使用和艾滋病毒风险

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Excessive alcohol consumption has been shown to increase HIV risk for men who have sex with men (MSM) and compromise HIV prevention behaviors. However, there is limited contextual understanding of alcohol use for MSM in rural sub-Saharan African settings, which can inform and direct HIV interventions. Applying an adaptation of PhotoVoice, we worked with 35 HIV-positive MSM who created photo-essays about alcohol and HIV in Mpumalanga. A semi-structured protocol was used in focus group discussions that were audio-recorded, translated and transcribed. Transcript data and visual data of 24 photo-essays were analyzed using a constant comparison approach. We found that participants used alcohol to build and sustain social networks, meet sexual partners, and enhance sexual experience. Excessive alcohol use was common, which was associated with increased HIV risk behaviors within a community of MSM who maintained multiple partnerships. Our study suggests that HIV interventions need to address excessive alcohol use to mitigate the associated HIV risk at both the individual and community levels.
机译：已经显示出过量的酒精消耗来增加与男性（MSM）发生性关系的男性的艾滋病毒风险，并妥协艾滋病毒预防行为。然而，在农村撒哈拉以南非洲环境中对MSM的饮酒有限的背景理解有限，可以提供通知和直接艾滋病毒干预措施。应用Photovoice的改编，我们使用35名艾滋病毒阳性MSM，他在普马兰加省创造了关于酒精和艾滋病毒的照片。半结构协议用于焦点组讨论，记录，翻译和转录。使用恒定的比较方法分析24个照片散文的转录数据和视觉数据。我们发现参与者使用酒精来建立和维持社交网络，迎接性伴侣，并加强性经验。过量的酒精使用是常见的，这与MSM社区内的艾滋病毒风险行为增加有关，他们维持多个伙伴关系。我们的研究表明，HIV干预需要解决过多的酒精用途，以减轻个人和社区层面的相关艾滋病毒风险。

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